Individual
JANELLE S GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-4640
Mailing address
8 IROQUOIS LN, COMMACK, NY 11725-4209
(631) 543-0186
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012182
NY
Other
Enumeration date
10/30/2007
Last updated
12/29/2010
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